Efficacy of honey nasal spray as an adjunct treatment for allergic rhinitis : a randomized controlled trial

BACKGROUND Allergic rhinitis is an IgE-mediated inflammation of the nasal mucosa. The management of allergic rhinitis has not changed much and only limited studies has been done to explore the benefit of complementary alternative therapy. Honey is proven in its anti-inflammatory, antibacterial a...

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Main Author: Manab, Farah Wahida Abd
Format: Thesis
Language:English
Published: 2017
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Online Access:http://eprints.usm.my/44937/1/Dr.%20Farah%20Wahida%20Abd%20Manab-24%20pages.pdf
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spelling my-usm-ep.449372020-10-22T03:03:14Z Efficacy of honey nasal spray as an adjunct treatment for allergic rhinitis : a randomized controlled trial 2017 Manab, Farah Wahida Abd RF Otorhinolaryngology BACKGROUND Allergic rhinitis is an IgE-mediated inflammation of the nasal mucosa. The management of allergic rhinitis has not changed much and only limited studies has been done to explore the benefit of complementary alternative therapy. Honey is proven in its anti-inflammatory, antibacterial and anti-oxidant properties and found to be useful for treatment of inflammation. We aimed to determine the efficacy of honey nasal spray as an adjunct treatment of moderate to severe persistent allergic rhinitis. METHOD Patients were recruited from our Otorhinolaryngology- Head & Neck Surgery Clinic from November 2015 to July 2016. Thirty moderate to severe persistent allergic rhinitis patients with positive skin prick tests were divided randomly into control and trial group. Both groups received standard medication (intranasal corticosteroids and oral antihistamines). In addition, the trial group received honey nasal spray as adjunctive daily dose. Patients were assessedusing SNOT22 questionnaires at 0, 2nd and 6th weeks of the study with the focus on the primary symptoms of nasal blockage, rhinorrhea and sneezing RESULTS There was overall improvement of total SNOT 22 score and each symptom score of nasal blockage, rhinorrhea and sneezing together with the total serum IgE level in both groups at the end of 6 weeks. However, the improvement was seen more consistently in the trial group as evidenced by the reduction of estimated means score of all measured outcomes. CONCLUSION The honey nasal spray has beneficial effect as an adjunct treatment in moderate to severe persistent allergic rhinitis by acting as a protective mucous layer in reducing the attachment of allergen to the nasal mucosa. 2017 Thesis http://eprints.usm.my/44937/ http://eprints.usm.my/44937/1/Dr.%20Farah%20Wahida%20Abd%20Manab-24%20pages.pdf application/pdf en public masters Universiti Sains Malaysia Pusat Pengajian Sains Perubatan
institution Universiti Sains Malaysia
collection USM Institutional Repository
language English
topic RF Otorhinolaryngology
spellingShingle RF Otorhinolaryngology
Manab, Farah Wahida Abd
Efficacy of honey nasal spray as an adjunct treatment for allergic rhinitis : a randomized controlled trial
description BACKGROUND Allergic rhinitis is an IgE-mediated inflammation of the nasal mucosa. The management of allergic rhinitis has not changed much and only limited studies has been done to explore the benefit of complementary alternative therapy. Honey is proven in its anti-inflammatory, antibacterial and anti-oxidant properties and found to be useful for treatment of inflammation. We aimed to determine the efficacy of honey nasal spray as an adjunct treatment of moderate to severe persistent allergic rhinitis. METHOD Patients were recruited from our Otorhinolaryngology- Head & Neck Surgery Clinic from November 2015 to July 2016. Thirty moderate to severe persistent allergic rhinitis patients with positive skin prick tests were divided randomly into control and trial group. Both groups received standard medication (intranasal corticosteroids and oral antihistamines). In addition, the trial group received honey nasal spray as adjunctive daily dose. Patients were assessedusing SNOT22 questionnaires at 0, 2nd and 6th weeks of the study with the focus on the primary symptoms of nasal blockage, rhinorrhea and sneezing RESULTS There was overall improvement of total SNOT 22 score and each symptom score of nasal blockage, rhinorrhea and sneezing together with the total serum IgE level in both groups at the end of 6 weeks. However, the improvement was seen more consistently in the trial group as evidenced by the reduction of estimated means score of all measured outcomes. CONCLUSION The honey nasal spray has beneficial effect as an adjunct treatment in moderate to severe persistent allergic rhinitis by acting as a protective mucous layer in reducing the attachment of allergen to the nasal mucosa.
format Thesis
qualification_level Master's degree
author Manab, Farah Wahida Abd
author_facet Manab, Farah Wahida Abd
author_sort Manab, Farah Wahida Abd
title Efficacy of honey nasal spray as an adjunct treatment for allergic rhinitis : a randomized controlled trial
title_short Efficacy of honey nasal spray as an adjunct treatment for allergic rhinitis : a randomized controlled trial
title_full Efficacy of honey nasal spray as an adjunct treatment for allergic rhinitis : a randomized controlled trial
title_fullStr Efficacy of honey nasal spray as an adjunct treatment for allergic rhinitis : a randomized controlled trial
title_full_unstemmed Efficacy of honey nasal spray as an adjunct treatment for allergic rhinitis : a randomized controlled trial
title_sort efficacy of honey nasal spray as an adjunct treatment for allergic rhinitis : a randomized controlled trial
granting_institution Universiti Sains Malaysia
granting_department Pusat Pengajian Sains Perubatan
publishDate 2017
url http://eprints.usm.my/44937/1/Dr.%20Farah%20Wahida%20Abd%20Manab-24%20pages.pdf
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